NPIMap

Organization Active NPI

Tooele Hospital Corporation

Doing business as Mountain West PT

  • Physical Therapy Clinic/Center
  • Tooele, UT
National Provider Identifier
1013107838
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2500-HOSP-14233 Issued in UT
Legal business name
TOOELE HOSPITAL CORPORATION
Doing business as
Mountain West PT
Practice address
2055 N Main St
Tooele, UT 84074-9819
Phone
(435) 843-3600
NPI assigned
Jul 27, 2007
Last updated
Sep 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Randy Michael Cooper
Title
SVP Finance Operations/Ao
Phone
(615) 221-3840

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 2500-HOSP-14233 UT
Physical Therapy Clinic/Center 261QP2000X 2500-HOSP-14233 UT Primary
Occupational Medicine Clinic/Center 261QX0100X 2500-HOSP-14233 UT

Addresses

Primary practice location

2055 N Main St
Tooele, UT 84074-9819

Mailing address

PO Box 847226
Dallas, TX 75284-7226
Phone (435) 843-3600

Other names 1

  • Mountain West PT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mountain West Med Ctr3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1013107838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847226",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847226",
            "telephone_number": "435-843-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 N MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840749819",
            "telephone_number": "435-843-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOELE HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SVP FINANCE OPERATIONS/AO",
        "authorized_official_telephone_number": "615-221-3840"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "UT",
            "license": "2500-HOSP-14233",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "UT",
            "license": "2500-HOSP-14233",
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "UT",
            "license": "2500-HOSP-14233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain West PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tooele, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.